Needed more than 1600 IU of vitamin D during pregnancy – RCT

Vitamin D requirement in pregnancy to prevent deficiency in neonates: a randomised trial.

Singapore Med J. 2013 May;54(5):285-288.

Shakiba M, Iranmanesh MR.

Paediatric Department, Shahid Sadoughi Medical University, Avicenna St, Yazd, Iran. [email protected].

Introduction: The exact amount of vitamin D required for pregnant women to adequately supply the foetus during pregnancy is still unclear. This randomised trial attempted to determine the optimal dose of vitamin D necessary during pregnancy in order to attain a vitamin D level > 20 ng/mL in neonates.

Methods: A total of 51 healthy, pregnant women in Yazd, Iran, were recruited in 2009. Of these, 34 were randomised to receive either

  • 50,000 IU (Group A ) or

  • 100,000 IU (Group B ) of vitamin D3

per month from the second trimester of pregnancy.

The remaining 17 pregnant women, who formed the third group

  • (Group C) and were found to have vitamin D deficiency, were initially treated with 200,000 IU of vitamin D3,
    • following which the dose was adjusted to 50,000 IU per month.

25-hydroxyvitamin D (25[OH]D) in cord blood was measured by chemiluminescence immunoassay, and a serum 25(OH)D level < 20 ng/mL was defined as deficiency.

Results: All the pregnant women had a vitamin D level < 30 ng/mL at the beginning of the second trimester.

The neonates of 76% of women from Group A had sufficient levels of 25(OH)D.

All the neonates born to women in Groups B and C had 25(OH)D > 20 ng/mL.

No side effects were observed in our participants during the period of vitamin D supplementation.

Conclusion: A vitamin D3 dose > 50,000 IU/month is required during the second and third trimesters of pregnancy for vitamin D-deficient pregnant women in order for their neonates to achieve serum 25(OH)D levels > 20 ng/mL.

Supplementation with < 50,000 IU/month is insufficient to ensure a vitamin D level > 20 ng/mL in all neonates born to vitamin D-deficient pregnant women.

PMID: 23716156

Vitamin D levels needed

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See also Vitamin D Life

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Tags: Pregnancy